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May 29, 2026 Wayou Sida, Authorized Agent AA Social Services LLC 7890 41St Street North Oakdale, Minnesota 55128 License Number: 1104617 (245D – Home and Community-Based Services) CORRECTION ORDER Dear Wayou Sida: On March 17, 2026, a licensing review of AA Social Services LLC, located at 7890 41st Street North, Oakdale, Minnesota, was conducted to determine compliance with state and federal laws and rules governing the provision of home and community-based services to persons with disabilities and age 65 and older under Minnesota Statutes, Chapter 245D. As a result of this licensing review a Correction Order is being issued. A. Reason for Correction Order Pursuant to Minnesota Statutes, section 245A.06, if the Commissioner of the Department of Human Services (DHS) finds that the license holder has failed to comply with an applicable law or rule and this failure does not imminently endanger the health, safety, or rights of the persons served by the program, the Commissioner may issue a Correction Order to the license holder. The following violation(s) of state or federal laws and rules were determined as a result of the licensing review. Corrective action for each violation is required by Minnesota Statutes, section 245A.06 and is hereby ordered by the Commissioner of Human Services. 1. Citation: Minnesota Statutes, section 245A.65, subdivision 2. Violation: For two of two persons whose records were reviewed (P1 and P2), the license holder did not meet the requirements for an individual abuse prevention plan (IAPP), as required. The license holder did not develop IAPPs for P1 and P2 that included an individualized assessment of P1’s and P2’s susceptibility to abuse in all areas of abuse, within the scope of the licensed service. Corrective Action Ordered: Within 30 days of receiving this order, you must: · complete an individualized assessment of P1’s and P2’s susceptibility to abuse in all areas of abuse, within the scope of each licensed service; · document a statement of the specific measures that would be taken to minimize the risk of abuse for each assessed area of risk of abuse for each licensed service; · ensure P1’s and P2’s case managers have an opportunity to review P1’s and P2’s revised IAPPs; · maintain documentation that P1’s and P2’s case managers have been provided an opportunity to review P1’s and P2’s revised IAPPs in P1’s and P2’s service recipient records; and · for any person identified in your audit as not having an individualized assessment in their IAPP, you must complete one. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245D.04, subdivision 1. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not provide a written notice that identified the service recipient rights and explanation of those rights annually, as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean within the same month of the subsequent calendar year. The license holder did not provide P1 and P2 with a written notice that identified the service recipient rights and an explanation of those rights annually in 2023, 2024 and 2025. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide P1 and P2 with a written notice that identified the service recipient rights and explanation of those rights; · maintain documentation of the receipt of the service recipient rights in P1’s and P2’s service recipient records; and · for any person who has not received a written notice in the past twelve months, you must provide the written notice and maintain documentation that the written notice was provided in the person’s service recipient record. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.07, subdivisions 1 and 1a. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not provide services in response to the person’s identified needs, interests, preferences and desired outcomes as specified in the support plan and support plan addendum. a. The license holder provided multiple services to P1. The license holder did not ensure that P1’s support plan addendum identified how services were provided for each service, including how, when and by whom each service will be provided. b. P2’s support plan instructed the license holder to document the monthly activities that P2 participated in. The license holder did not document monthly activities that P2 participated in as assigned in the support plan. Corrective Action Ordered: Within 30 days of receiving this order, you must: · document in P1’s support plan addendum how services are provided for each service, including: o how, when, and by whom direct support services will be provided; and o the person responsible for overseeing the delivery and coordination of services; · document the monthly activities that P2 participates in while receiving direct support services; · maintain this documentation in P2’s service recipient record; and · for any person who does not have the information listed in part “a” documented, you must document the information in the person’s service recipient record. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.07, subdivisions 2 and 3. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not meet service planning requirements for a basic support services. P1’s and P2’s support plan addendums required annual service planning and support team meetings and annual written progress reports. The license holder did not meet with P1’s and P2’s support team and did not provide progress reports to P1’s and P2’s support teams on an annual basis. Corrective Action Ordered: Within 30 days of receiving this order, you must: · hold a service planning and support team meeting with P1 and members of their support team, and with P2 and members of their support team. You must document the meeting, including the date the meeting occurred, who attended the meeting, and what was discussed at the meeting, and maintain the documentation in P1’s and P2’s support plan addendums; and · provide P1’s and P2’s support teams with written progress review reports. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.095, subdivision 3. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not maintain service recipient records as required. The license holder did not maintain progress or daily log notes in P1’s and P2’s service recipient records. Corrective Action Ordered: Within 30 days of receiving this order, you must begin maintaining progress or daily log notes in P1’s and P2’s service recipient records. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Rule, part 9544.0030, subpart 1. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not incorporate and evaluate positive support strategies as required. For P1 and P2, the license holder did not incorporate in writing positive support strategies to an existing treatment, service, or other individual plan. Corrective Action Ordered: Within 30 days of receiving this order, you must: · develop and document positive support strategies for P1 and P2 into an existing treatment, service or plan; · evaluate the established positive support strategies with P1 and P2 at least every six months; · maintain documentation of these evaluations in P1’s and P2’s service recipient records; and · for any person identified in your audit as not having positive support strategies incorporated in writing, you must develop and incorporate positive support strategies in writing to an existing plan for the person. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subpart. 7. Citation: Minnesota Statutes, section 245D.09, subdivision 4. Violation: For two of four staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide and ensure completion of orientation training as required. a. The license holder did not provide SP1 with orientation training on the following topics within 60 calendar days of hire: · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behaviors, and why such procedures are not safe; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. b. The license holder did not provide SP2 with orientation training on the following topics within 60 calendar days of hire: · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behaviors, and why such procedures are not safe; · basic first aid; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. Corrective Action Ordered: Within 30 days of receiving this order, you must provide SP1 and SP2 with the above-mentioned orientation training. You must maintain documentation of this orientation training in SP1’s and SP2’s personnel records. Compliance with this order will be reviewed on site at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 8. Citation: Minnesota Statutes, section 245D.09, subdivision 4a. Violation: For two staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide an orientation to individual service recipient needs, as required. The license holder did not provide SP1 and SP2 with instruction on the person’s support plan or support plan addendum as it relates to the responsibilities assigned to the license holder, and when applicable, the person’s individual abuse prevention plan, to achieve and demonstrate an understanding of the person as a unique individual, and how to implement those plans prior to SP1 and SP2 having unsupervised direct contact with a person served by the program. Corrective Action Ordered: Within 30 days of receiving this order, you must provide SP1 and SP2 with training on the above-mentioned information. You must maintain documentation of this training in SP1’s and SP2’s personnel records. Compliance with this order will be reviewed on site at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 9. Citation: Minnesota Statutes, section 245D.09, subdivision 5. Violation: For one staff person whose record was reviewed (SP2), the license holder did not provide annual training as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. The license holder did not provide SP2 with annual training on the following topics in 2024 and 2025: · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behaviors, and why such procedures are not safe; · basic first aid; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. Corrective Action Ordered: Within 30 days of receiving this order, you must provide SP2 with the above-mentioned training. You must maintain documentation of this training in SP2’s personnel record. Compliance with this order will be reviewed on site at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 10. Citation: Minnesota Statutes, section 245D.095, subdivision 5. Violation: For two staff persons whose records were reviewed (SP1 and SP2), the license holder did not maintain personnel records as required. The license holder did not document the following information in SP1’s and SP2’s personnel records: · the date of first unsupervised direct contact with a person served by the program; · the date training was completed; and · the number of hours per subject area. Corrective Action Ordered: Within 30 days of receiving this order, you must begin maintaining the above-mentioned information in SP1’s and SP2’s personnel records. Compliance with this order will be reviewed on site at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 11. Citation: Minnesota Statutes, section 245D.081. Violation: The license holder did not meet the requirements of program coordination, evaluation and oversight. a. The license holder did not ensure the designated coordinator (SP3), provided supervision, support, and evaluation of activities that included: · oversight of the license holder’s responsibilities assigned in the person’s support plan and support plan addendum; · taking the action necessary to facilitate the accomplishment of the outcomes according to the requirements in section 245D.07; · instruction and assistance to direct support staff implementing the support plan and the service outcomes, including direct observation of service delivery sufficient to assess staff competency; and · evaluation of the effectiveness of service delivery, methodologies, and progress on the person’s outcomes based on the measurable and observable criteria for identifying when the desired outcomes based on the measurable and observable criteria for identifying when the desired outcome has been achieved according to the requirements in section 245D.07. b. The license shoulder did not ensure that the designated manager (SP4) provided program management and oversight of the services provided by the license holder that included: · maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program as identified in section 245A.04, subdivision 1, paragraph (e), and when applicable, as identified in section 256B.04, subdivision 21, paragraph (g); · ensuring the duties of the designated coordinator are fulfilled according to the requirements in subdivision 2; · ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivision 4, 4a, and 5; · ensuring corrective action is taken when ordered by the commissioner and that the terms and conditions of the license and any variances are met; and · evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements. In addition, the license holder did not ensure that the designated manager (SP4) met the competency requirements identified in 245D.081, subdivision 2, paragraph (b) and had a minimum of three years of supervisor experience in a program that provided care or education to vulnerable adults or children. See citations 1 through 10 for the designated coordinator’s and designated manager’s inability to provide program coordination, management and oversight. Corrective Action Ordered: Within 30 days of receiving this order, you must: · designate a person other than SP4 to be appointed as the designated manager, who is responsible for program management and oversight of the services provided by the license holder; · submit the name and qualifications of the person(s) you have designated and have ensured is competent to perform the duties of the designated manager as required in this section; · submit an acknowledgement signed by the designated coordinator (SP3) and the newly designated manager that they have reviewed and understand their responsibilities as a designated coordinator and designated manager according to 245D.081, subdivisions 2 and 3; · complete an audit of all participant and personnel records to ensure each person’s and each staff person’s records are in compliance with the 245D licensing requirements; and · submit the following to your licensor: o the audit form you have developed; o the results of the audit; and o the date by which all participants and personnel records will be in compliance with the 245D licensing requirements. This date must be before August 1, 2026. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. If you fail to correct the violations specified in the Correction Order within the prescribed time lines the Commissioner may issue an Order of Conditional License or may impose a fine and order other licensing sanctions pursuant to Minnesota Statutes, sections 245A.06 and 245A.07. Submissions required as part of a corrective action ordered must be sent to your Licensor at: 1. By secure email at kate.spenger@state.mn.us or 2. If you are unable to submit corrective action ordered securely through email, you can mail or fax using the information below: Commissioner, Department of Human Services ATTN: Kate Spenger Licensing Division PO Box 64242 St. Paul, MN 55164-0242 B. Right to Request Reconsideration If you believe any of the citations are in error, you have the right to request that the Commissioner of Human Services reconsider the parts of the Correction Order that you believe to be in error. The request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this report. Your request for reconsideration must be sent to: Commissioner, Department of Human Services ATTN: Legal Unit Licensing Division PO Box 64953 St. Paul, MN 55164-0242 Please note that a request for reconsideration does not stay any provisions or requirements of the Correction Order. The Commissioner’s disposition of a request for reconsideration is final and not subject to appeal under Minnesota Statutes, chapter 14. If you have any questions regarding this Correction Order, please contact me as soon as possible. Kate Spenger, HCBS Licensor Licensing Division Office of Inspector General 651-431-5757
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